| NPI | 1487889820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD H76457) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD H76457) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS016019) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2024-11-13 |