| NPI | 1780682682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: IN 1040840) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN IN01040840) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2025-08-07 |