| NPI | 1043500614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 321410) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 321410) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: LA 321410) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: LA 321410) | |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2021-01-20 |