| NPI | 1487819579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: HI MD-18475) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A102120) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2021-05-12 |