| NPI | 1457589970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2013-007258) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 11015076A) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2021-04-23 |