| 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 |