| NPI | 1073639530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09124400) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NJ 25MA09124400) |
| 204R00000X Electrodiagnostic Medicine (Licence: NJ 25MA09124400) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NJ 25MA09124400) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-08-19 |