| NPI | 1578705935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 300375) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 300375) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2025-01-16 |