| NPI | 1376903377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61576249) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01078922A) |
| 208D00000X General Practice (Licence: IN 01078922A) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2025-01-01 |