| NPI | 1487744975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AR E-4513) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: AR E-4513) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-07-21 |