| NPI | 1063440071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: PA MD421309) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD421309) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2018-04-11 |