| NPI | 1386622280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX M6753) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 39778) |
| 207W00000X Ophthalmology (Licence: IN 01064830A) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2024-10-22 |