| NPI | 1427007525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01056324A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL 00027460) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2013-01-14 |