| NPI | 1134384548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 40351) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 51949) |
| 207W00000X Ophthalmology (Licence: IA 40351) | |
| 207W00000X Ophthalmology (Licence: IL 036.131026) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.131026) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2015-03-31 |