| NPI | 1982960936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101259969) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101259969) |
| 207W00000X Ophthalmology (Licence: MD D81375) | |
| 207W00000X Ophthalmology (Licence: DC MD043904) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2019-04-09 |