| NPI | 1386871838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL 30376) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2013-06-03 |