NPI | 1902691546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 5151017493) |
Enumeration Date | 2025-04-14 |
Last Update Date | 2025-05-04 |