| NPI | 1376006866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX U2646) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-04-07 |