| NPI | 1861490146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01039106A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 25140) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-09-29 |