| NPI | 1801042007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: HI MD16055) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A104535) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2017-02-09 |