| NPI | 1225264526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 271185) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NJ 25MA10629200) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2023-02-08 |