| NPI | 1063411635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IN 01044244A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01044244A) |
| 207W00000X Ophthalmology (Licence: KY 31665) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: KY 31665) | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-09-29 |