| NPI | 1699750844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IN 01079463A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01079463A) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2018-03-17 |