| NPI | 1255657151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01083315A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 62214-20) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2022-08-05 |