| NPI | 1144547134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX T3518) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036178695) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 340347) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T3518) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036178695) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2026-02-19 |