| NPI | 1295313138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 73854) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 82031-20) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-06-30 |