| NPI | 1801852314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 053803) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01056674A) |
| 207W00000X Ophthalmology (Licence: IL 036-097526) | |
| 207W00000X Ophthalmology (Licence: WI 62936) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2023-12-14 |