| NPI | 1992384465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: TX V6717) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-4381) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2025-06-03 |