| 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 |