| NPI | 1255794368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX T3033) |
| Additional Taxonomies | 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: TX T3033) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2024-09-05 |