| NPI | 1275515710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01061093A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2023-00058) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2023-02-13 |