| NPI | 1932124385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101273016) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD042885) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: VA 0101273016) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-06-03 |