| NPI | 1316984651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301115829) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301115829) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301115829) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-10-19 |