| NPI | 1457556599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M-10098) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: ID M-10098) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2014-09-17 |