NPI | 1013301910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA MD-48564) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME139298) |
207WX0107X Ophthalmology, Retina Specialist (Licence: IA MD-48564) | |
207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: IA MD-48564) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-27 |
Last Update Date | 2021-09-16 |