| NPI | 1518996891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003043A) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 18003043B) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-04 |