| NPI | 1366536153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0093134) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01057030A) |
| 207W00000X Ophthalmology (Licence: VA 0101273553) | |
| 207W00000X Ophthalmology (Licence: DC MD210001940) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-09-10 |