| NPI | 1912963646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: HI md-11411) |
| Additional Taxonomies | 174400000X Specialist (Licence: HI MD11411) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2018-12-13 |