| NPI | 1043748916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MD D0100218) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D0100218) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2025-01-08 |