NPI | 1871851832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX R1318) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207W00000X Ophthalmology (Licence: MD P27859) | |
207W00000X Ophthalmology (Licence: MA 265970) | |
207WX0009X Ophthalmology, Glaucoma Specialist (Licence: TX R1318) | |
Enumeration Date | 2012-04-27 |
Last Update Date | 2022-07-21 |