| NPI | 1184121212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: OR MD211438) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 11390540-1205) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OR MD211438) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2023-11-06 |