| NPI | 1629042288 |
|---|---|
| Professional Name | MARTIN JEROME FIALKOV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA 36314) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD024394E) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-08-11 |