| NPI | 1841787603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA OS021974) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: PA OS021974) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2022-11-02 |