NPI | 1477571909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO R2922) |
Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MO R2922) |
207ZP0101X Pathology, Anatomic Pathology (Licence: MO R2922) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2018-01-29 |