| NPI | 1750810958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX BP20061721) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101277520) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: VA 0101277520) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP20061721) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2023-10-02 |