| NPI | 1609874486 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: IN 1030679) | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN IN01030679) | 
| Enumeration Date | 2005-07-14 | 
| Last Update Date | 2025-08-07 |