NPI | 1609080886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35C.002417) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD26999) |
207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: OR MD26999) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 654661-1205) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2025-03-24 |