| NPI | 1588677256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR M013286) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01029526A) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2021-12-01 |