| NPI | 1528026184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: NV 18310) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NV 18310) |
| 207W00000X Ophthalmology (Licence: MA 211857) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-10-29 |