| NPI | 1790949485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 51025) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 47315) |
| 207W00000X Ophthalmology (Licence: TN 51025) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: KY 47315) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2017-08-04 |