| NPI | 1760836878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11659400) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 292416) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 72812) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NJ 25MA11659400) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2023-07-31 |