| NPI | 1831176288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME63864) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01041604A) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2009-05-27 |