| NPI | 1952500373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 49228) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 22308) |
| 207W00000X Ophthalmology (Licence: AR E-7739) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2018-01-09 |