| NPI | 1639338627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 303835-01) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01070387A) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2023-05-12 |