| NPI | 1487862348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL 26843) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2008-00547) |
| 207W00000X Ophthalmology (Licence: IN 01068383A) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-19 |