NPI | 1821403510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX S0755) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX BP10054197) |
207W00000X Ophthalmology (Licence: PA MD463850) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-22 |
Last Update Date | 2024-07-18 |