| NPI | 1619187317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB09777300) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NJ 25MB09777300) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2025-00165) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2025-00165) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-04-14 |