| NPI | 1609339019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2024-02301) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NC 2024-02301) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2026-06-10 |