| NPI | 1124605258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A21204) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 20A21204) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: CA 20A21204) | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-07-06 |