| NPI | 1043673742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01083764A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 53795) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2026-07-09 |