| NPI | 1932544111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: ID M-14241) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301111952) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2016-0104) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2020-11-05 |