| NPI | 1467018945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 02007836A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076391) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2024-07-01 |