| NPI | 1043891971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: NE 35582) |
| Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: NE 35582) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4352001016) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2023-08-10 |