NPI | 1114940095 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 057797) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 057797) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2016-08-02 |