| NPI | 1417392325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: OK 30766) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 30766) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2020-07-15 |