| NPI | 1396754701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: PA MD450360) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD MDD0062282) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25IA12464800) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MD MDD0062282) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2025-03-14 |