| NPI | 1528066917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DE C1-0008196) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01054201) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2019-09-25 |