| NPI | 1003443300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: CA A184732) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A184732) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-08-20 |