| NPI | 1609021831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: HI MD-15409) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA C54116) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2020-01-03 |