| NPI | 1417448408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: IA 51349) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 71588) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-07-15 |