| NPI | 1609874486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: IN 1030679) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN IN01030679) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2024-01-26 |