| NPI | 1043347248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G77195) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA G77195) |
| 207T00000X Neurological Surgery (Licence: NC 2000-01051) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2000-01051) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2026-06-23 |