| NPI | 1396935011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX P5565) |
| Additional Taxonomies | 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: TX P5565) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX P5565) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX P5565) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P5565) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2018-05-24 |