| NPI | 1356886782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OR MD215419) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A177044) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2024-07-10 |