| NPI | 1033613120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD478003) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01097154A) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-07-18 |