| NPI | 1326229691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 276346-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09276600) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 276346-1) | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2021-01-08 |