NPI | 1124605258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: CA 20A21204) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A21204) |
207W00000X Ophthalmology (Licence: CA 20A21204) | |
Enumeration Date | 2021-03-25 |
Last Update Date | 2025-06-11 |