NPI | 1285635334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01058885A) |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 130127411) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2016-03-02 |