| NPI | 1194458612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 76947) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2022021312) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MS 36936) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: AR E-20550) | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2026-06-12 |