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) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2015-01-16 |