| NPI | 1447008644 |
|---|---|
| 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: TX BP10090147) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10090147) | |
| Enumeration Date | 2024-05-11 |
| Last Update Date | 2025-01-16 |