| 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 |