| NPI | 1922237700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036133664) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA MD-48343) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: IA MD-48343) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207W00000X Ophthalmology (Licence: WI 60876) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2022-08-30 |