| NPI | 1508326166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 75930-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01090500A) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-08-01 |