| NPI | 1811421555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 67752) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 67752) |
| 207W00000X Ophthalmology (Licence: AL 37223) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-12-12 |