| NPI | 1225272347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME167098) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01070039A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2024-07-08 |