| NPI | 1689963589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 48596) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01075545A) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2023-09-07 |