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 |