| NPI | 1871652941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: HI MD-15377) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A91994) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2021-05-07 |