| NPI | 1437167129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME97455) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: FL ME97455) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301076171) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-05-02 |