| NPI | 1265136196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01097153A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 57.254147) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-07-14 |