| NPI | 1780204149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 343100) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: MO 2024014251) |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2026-08-21 |