NPI | 1669869848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A188582) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A188582) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-24 |
Last Update Date | 2025-05-16 |