| NPI | 1932762374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 81541) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 02007182A) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2024-10-31 |