| NPI | 1124688221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IN 01095570A) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MO 2023016112) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2025-07-29 |