| NPI | 1952788481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 32238) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 34587) |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: NE 32238) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2023-11-27 |