| NPI | 1346248622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01027160A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 23159) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2012-09-17 |