| NPI | 1447584602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 82957) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01072595A) |
| 207W00000X Ophthalmology (Licence: VA 0116022026) | |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2019-09-25 |