| NPI | 1265641070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: NJ 25MA08672800) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020037397) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA mt188077) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD476263) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME145949) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101271839) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 91367) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA08672800) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 20812) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 61995) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 328149) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2025-09-10 |