| NPI | 1770806010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MI 4301104475) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IN 01071033A) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2018-04-20 |