| NPI | 1023247160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC D0083958) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: MD 24560) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2018-05-11 |