NPI | 1225391725 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A146756) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD457613) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-19 |
Last Update Date | 2018-03-17 |