NPI | 1972593838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 14151234-1205) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01055918A) |
Enumeration Date | 2005-10-24 |
Last Update Date | 2025-01-03 |