| NPI | 1598812562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002184) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 18002184) |
| 152WP0200X Optometrist, Pediatrics (Licence: IN 18002184) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: IN 18002184) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-10-06 |