| NPI | 1851395446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: TN 44742) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 44742) |
| 207W00000X Ophthalmology (Licence: MS 21485) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MS 21485) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2018-03-17 |