| NPI | 1437151099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 19646) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 28394) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2023-02-10 |