| NPI | 1487655783 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IN 01029807A) | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01029807A) | 
| Enumeration Date | 2005-08-09 | 
| Last Update Date | 2021-02-08 |