| NPI | 1376511980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: PA MD024148E) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD024148E) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-05-22 |