| NPI | 1780027169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: VA 0101269060) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: VA 0101269060) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2024-02-29 |