| NPI | 1548536295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01078672A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 50378) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: KY 50378) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IN 01078672A) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-09-29 |