| NPI | 1477533081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX P4000) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036113344) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: TX P4000) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: TX P4000) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2023-03-02 |