| NPI | 1043673171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: GA 87987) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 03875) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023036733) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 69402) | |
| 207T00000X Neurological Surgery (Licence: GA 87987) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11917300) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME164126) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01089897A) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2026-07-14 |