| NPI | 1073513628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: IN 01035051A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01035051A) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2017-10-17 |