| NPI | 1689679441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 37817) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 18267) |
| 207W00000X Ophthalmology (Licence: AR E3846) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: MS 18267) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: AR E3846) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: TN 37817) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2017-04-26 |