| NPI | 1427215060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD457637) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-15187) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 23421) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 49869) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: DC MD040423) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2023-01-30 |