| NPI | 1538426051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: DC MD046465) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207W00000X Ophthalmology (Licence: VA 0101262585) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2018-07-12 |