| NPI | 1326253832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME141454) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2010011553) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME141454) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 37238) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MO 2010011553) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2003025920) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IA 37238) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME141454) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IA 37238) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2010011553) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-08-21 |