| NPI | 1497756852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01055599A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 32762) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-09-29 |