| NPI | 1740717149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61333236) |
| Additional Taxonomies | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: CA A172933) |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: WA MD61333236) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL0006877) | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-09-23 |