| NPI | 1467405191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 39363) |
| Additional Taxonomies | 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: WI 39363) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-11-02 |