| NPI | 1497488118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME166796) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: FL 41866) |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2024-09-04 |