| NPI | 1154391159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: CT 014951) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 014951) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2017-12-12 |