NPI | 1922508530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CO DR.0070178) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0102206073) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-02-20 |
Last Update Date | 2025-04-24 |