| NPI | 1871648741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01062503A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01062503A) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-03-15 |