| NPI | 1962943167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101271485) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 7652-851) |
| 207W00000X Ophthalmology (Licence: IN 01090167A) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-07-10 |