| NPI | 1609118009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA C206975) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OR MD182406) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD182406) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OR MD182406) | |
| 207T00000X Neurological Surgery (Licence: CA C206975) | |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2026-03-11 |