| NPI | 1447832449 |
|---|---|
| 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: TN 73716) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-03-26 |