| NPI | 1255537122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: HI 19103) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: HI 19103) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: HI 19103) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2026-06-23 |