NPI | 1013576644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A182560) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207W00000X Ophthalmology (Licence: UT 13258987-1205) | |
Enumeration Date | 2019-06-07 |
Last Update Date | 2024-03-09 |