| NPI | 1427219807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09507000) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD486618) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09507000) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2026-03-13 |