| NPI | 1396188751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M-14403) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 9164199-1205) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: UT 9164199-1205) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2018-10-24 |