NPI | 1659940096 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301513433) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301513433) |
207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: MI 4301513433) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351047386) | |
Enumeration Date | 2021-06-21 |
Last Update Date | 2025-06-27 |