| NPI | 1083822704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0101408) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MD D0101408) |
| 207W00000X Ophthalmology (Licence: VA 0101249717) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-10-16 |