NPI | 1891227211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 311321) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 311321) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2023-06-02 |