| NPI | 1376163246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0102946) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01086680A) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2025-05-13 |