| NPI | 1356335525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: NY 092613) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 092613) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-07-08 |