| NPI | 1477555399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101239819) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01060339A) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2026-09-19 |