NPI | 1003107400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 265873) |
Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 265873) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 265873) | |
Enumeration Date | 2011-04-20 |
Last Update Date | 2019-03-01 |