| NPI | 1396900437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: WI 57569) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 57569-20) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2023-12-20 |