| NPI | 1093025306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA12956600) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD d0091565) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2026-07-21 |