| NPI | 1447632369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301512198) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 2019-00871) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2019-00871) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 036172209) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036172209) | |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2025-02-14 |