| NPI | 1386969749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX Q9735) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q9735) |
| 2085N0700X Radiology, Neuroradiology (Licence: TX Q9735) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2019-03-21 |