| NPI | 1609240613 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: AZ 62162) | 
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: IN 01082001A) | 
| 207W00000X Ophthalmology (Licence: CA A147542) | |
| 207W00000X Ophthalmology (Licence: IN 01082001A) | |
| 207W00000X Ophthalmology (Licence: AZ 62162) | |
| Enumeration Date | 2015-11-15 | 
| Last Update Date | 2024-09-15 |