NPI | 1255918223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NY 337467) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 38844) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-25 |
Last Update Date | 2025-06-23 |