NPI | 1942575568 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A122331) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A122331) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-14 |
Last Update Date | 2024-03-21 |