| NPI | 1295077402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 02005862A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 20A15577) |
| 207W00000X Ophthalmology (Licence: IL 036155061) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2022-07-21 |