| NPI | 1235355496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35.141084) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 53074-20) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036140536) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WI 53074-20) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 53074-20) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-04-20 |