| NPI | 1316940174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 4938) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: OH 4938) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-03-19 |