| NPI | 1598876526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AR E-17437) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2010003268) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-01-10 |