| NPI | 1750382867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01025213) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 15811) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2014-01-10 |