| NPI | 1043773864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX W1201) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX W1201) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX W1201) | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2026-05-07 |