| NPI | 1184658692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MO 2016043689) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA07522200) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2016043689) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-03-20 |