NPI | 1164493649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL me109502) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A48520) |
207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: FL ME109502) | |
Enumeration Date | 2006-01-31 |
Last Update Date | 2023-05-02 |