| NPI | 1366553398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 38587) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 49664) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-09-16 |