| NPI | 1295296739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: WA MD.MD.61683588) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD.MD.61683588) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: WA MD.MD.61683588) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-07-18 |