| NPI | 1871778316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX P6650) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA A116406) |
| 207T00000X Neurological Surgery (Licence: PA MT191834) | |
| 207T00000X Neurological Surgery (Licence: CA A116406) | |
| 2084D0003X Psychiatry & Neurology Diagnostic Neuroimaging (Licence: CA A116406) | |
| 2084H0002X Psychiatry & Neurology Hospice and Palliative Medicine (Licence: CA A116406) | |
| 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: CA A116406) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A116406) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CA A116406) | |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities (Licence: CA A116406) | |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: CA A116406) | |
| 2084S0010X Psychiatry & Neurology Sports Medicine (Licence: CA A116406) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: CA A116406) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2025-06-24 |