| NPI | 1497249940 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NH 23991) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114597) | 
| 207W00000X Ophthalmology (Licence: MI 1497249940) | |
| Enumeration Date | 2018-06-19 | 
| Last Update Date | 2025-04-02 |