| NPI | 1629502760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101265856) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: CA A185789) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A185789) | |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2023-07-14 |