| NPI | 1225290448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01072081A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11014328A) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2013-12-04 |