| NPI | 1285646398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: CA A110458) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 6259385-1205) |
| 207W00000X Ophthalmology (Licence: CA A110458) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2025-02-25 |