| NPI | 1386221869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 103803) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: GA 103803) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-04-01 |