| NPI | 1215082813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01024995A) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IN 01024995A) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-08-18 |