| NPI | 1013123587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NJ 25MA09844600) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD439255) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 242927) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09844600) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD439255) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-12-18 |