| NPI | 1891950788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MA08451100) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NJ 25MA08451100) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2024-03-28 |