| NPI | 1508028218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 11012603A) |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: AR E-7041) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2017-05-08 |