| NPI | 1295050110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ID M-14161) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01077110A) |
| 207WX0107X Ophthalmology Retina Specialist (Licence: ID M-14161) | |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2021-08-26 |