| NPI | 1245326602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: AL 2183) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 20A8837) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: TN 6035) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2026-09-30 |