| NPI | 1982690566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01039469) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 30120) |
| 207W00000X Ophthalmology (Licence: IL 036093071) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2018-08-15 |