NPI | 1285195602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX U2461) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10067159) |
207W00000X Ophthalmology (Licence: TX BP20072626) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-28 |
Last Update Date | 2023-08-28 |