| NPI | 1639331358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.095337) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 11013273A) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2021-03-08 |