| NPI | 1225233141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TN 68600) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 281038-1) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 281038-1) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NJ 25MA08959700) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA08959700) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2023-10-02 |