NPI | 1215678792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 293609) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2025-0286) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-04-06 |
Last Update Date | 2025-08-13 |