NPI | 1841720729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-155742) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX U0320) |
207WX0107X Ophthalmology, Retina Specialist (Licence: TX U0320) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-14 |
Last Update Date | 2022-11-02 |