| NPI | 1972593838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 14151234-1205) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01055918A) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2025-01-03 |