| NPI | 1275505406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 36514) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WI 36514) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2021-01-21 |