| NPI | 1487643193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA C130196) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 49622) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C130196) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MN 49622) | |
| 208600000X Surgery (Licence: CA C130196) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2023-11-08 |