| NPI | 1912905423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 01035918A) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 1035918A) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 01035918A) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2021-08-30 |