| NPI | 1265741235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD457478) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10008400) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036164222) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2023-08-21 |