| NPI | 1518351451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD198812) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A162241) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: OR MD198812) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2020-07-20 |