| NPI | 1841282043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IA 33559) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 33559) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IA 33559) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2007-12-12 |