| NPI | 1982671194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01041297) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NV 10979) |
| 207W00000X Ophthalmology (Licence: KY 30753) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2010-09-01 |