NPI | 1528514247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: CA A177276) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-09-01 |
Last Update Date | 2022-06-29 |