| NPI | 1154522407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AR E-6001) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: AR E6001) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-02-28 |