| NPI | 1114019700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 179697) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NY 179697) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 179697) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 179697) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 179697) | |
| 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: NY 179697) | |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NY 179697) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-02-02 |