| NPI | 1477791143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 55708) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: HI MD17029) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2020-12-03 |