| NPI | 1598299935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: KS 04-46734) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-46734) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2022-08-31 |