| NPI | 1255328100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2009031643) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036131933) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2009031643) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036131933) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MO 2009031643) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2023-01-18 |