| NPI | 1144398942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: MA 49612) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: NM MD2021-0882) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2024-11-01 |