| NPI | 1578957650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01084093A) |
| Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: MO 2019012296) |
| 208000000X Pediatrics (Licence: IN 01084093A) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-02-01 |