NPI | 1720449044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX S5176) |
Enumeration Date | 2016-03-14 |
Last Update Date | 2023-08-01 |