| NPI | 1770708166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01025135A) |
| Additional Taxonomies | 209800000X Legal Medicine (Licence: IN 01025135A) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-07-06 |