| NPI | 1306808258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 91046) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VI 1216) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2012-02068) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 101050) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-04-17 |