| NPI | 1467477901 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35098467) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01086390A) | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 67352) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2002-01503) | |
| 208600000X Surgery (Licence: CA A83260) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301119304) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A83260) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 64970-20) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036133549) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME139729) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101266709) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35098467) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09371900) | |
| 207T00000X Neurological Surgery (Licence: CA A83260) | |
| Enumeration Date | 2006-07-13 | 
| Last Update Date | 2025-01-14 |