| NPI | 1467974592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A179868) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A179868) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2025-07-03 |