| NPI | 1073516449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01031016) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01031016) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2022-11-23 |