| NPI | 1699120212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A168691) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: CA A168691) |
| 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: CA A168691) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-04-12 |