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 |