| NPI | 1023019262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01066676A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.093522) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2020-08-28 |