| NPI | 1144653437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: AZ 53907) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 53907) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 75927) | |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2017-10-12 |