| NPI | 1396264842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AR E-17238) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX Pending) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2024-06-28 |