NPI | 1437564846 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 7480) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC LL37052) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2018-06-14 |