| NPI | 1396276135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MO 2022019738) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2022019738) |
| 207W00000X Ophthalmology (Licence: SC 85613) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-07-06 |