NPI | 1467616094 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA12773400) |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NJ 25MA12773400) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2009010071) | |
Enumeration Date | 2008-07-14 |
Last Update Date | 2025-09-12 |