| 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 |