| NPI | 1629263421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: TN MD-49470) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN MD-49470) |
| 207W00000X Ophthalmology (Licence: CA A116707) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2020-04-18 |