| NPI | 1427074657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2004009695) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MO 2004009695) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2025-08-21 |