| NPI | 1427038603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: NY 103293) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 103293) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 103293) | |
| Enumeration Date | 2006-01-22 |
| Last Update Date | 2018-05-23 |