| NPI | 1477502201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18001885B) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18001885A) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 18001885B) | |
| 152WP0200X Optometrist, Pediatrics (Licence: IN 18001885B) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-03-26 |