| NPI | 1205825650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME80085) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA09911100) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09911100) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2020-09-01 |