| NPI | 1184250128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 5101028591) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 02007843A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2025-07-25 |