| NPI | 1225347727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10382600) |
| Additional Taxonomies | 2086S0129X (Licence: NJ 25MA10382600) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NJ 25MA10382600) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2025-11-05 |