| NPI | 1023033834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX L1698) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2005005294) |
| 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: TX L1698) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 35116) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX L1698) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX L1698) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-11-09 |