| NPI | 1477732477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MO 2013006676) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2013006676) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2013006676) | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2017-09-01 |