| NPI | 1376287318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 1021661) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01101251A) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2026-09-03 |