| NPI | 1508025834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB09396200) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 02003764A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 259590) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2016-11-08 |