| NPI | 1831159110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35088802) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: TN 0000025926) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2022-02-16 |