| NPI | 1124097225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA C169966) |
| Additional Taxonomies | 2085N0700X (Licence: MI 4301088851) |
| 207T00000X Neurological Surgery (Licence: MI 4301088851) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301088851) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301088851) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2025-04-18 |