| NPI | 1437357936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01071460A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 54563-20) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2014-12-09 |