| NPI | 1609826825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME86015) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME86015) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: FL ME86015) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-10-31 |