| NPI | 1225014848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01050629A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN MD0000034060) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-06-23 |