NPI | 1710146386 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NJ 25MA09328200) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09328200) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 259507) | |
Enumeration Date | 2008-06-08 |
Last Update Date | 2024-04-10 |