| NPI | 1508027640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A120193) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 11014473A) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2021-12-06 |