| NPI | 1619918729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 21668) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MS 12981) |
| 207W00000X Ophthalmology (Licence: MS 12981) | |
| 207W00000X Ophthalmology (Licence: TN MD0000021668) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: AR N-8386) | |
| 207W00000X Ophthalmology (Licence: AR N-8386) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-01-15 |