| NPI | 1417338336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD466803) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10614000) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD466803) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NJ 25MA10614000) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2024-02-23 |