| NPI | 1679798698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AR E-5758) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: AR E-5758) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2017-10-03 |