| NPI | 1144268988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: FL OS7865) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL OS7865) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2026-08-10 |