| NPI | 1073598835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01037745) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01037745A) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-10-13 |