NPI | 1336406859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0058739) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO DR.0058739) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2020-06-04 |