| NPI | 1396771358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD18942) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: OR MD18942) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60766327) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G88201) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OR MD18942) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2022-06-20 |