| NPI | 1598414641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: TN 77046) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 32438) |
| 207W00000X Ophthalmology (Licence: MN 74599) | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2026-07-07 |