| NPI | 1568579407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01066351A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036124386) |
| 207W00000X Ophthalmology (Licence: KY 41117) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2019-04-11 |