| NPI | 1851378558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G58345) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01039408A) |
| 208200000X Plastic Surgery (Licence: IN 01039408A) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2023-09-25 |