| NPI | 1891371316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 6982) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 346421) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2026-07-27 |