NPI | 1861889776 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 65545) |
Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: MN 65545) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2022-07-01 |