| NPI | 1659425148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11678100) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036127054) |
| 207T00000X Neurological Surgery (Licence: MN 19204) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.138158) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2024-03-14 |