| 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 |