| NPI | 1598797979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60956447) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01054741A) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-01-03 |