| NPI | 1093771511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IA MD-42915) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IA MD-42915) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-137420) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-42915) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 1405-TEP) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IA MD-42915) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2023-11-17 |