| NPI | 1760643068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01071045A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX BP10032334) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2012-06-20 |