NPI | 1801030473 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09419300) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 262027) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NJ 25MA09419300) | |
Enumeration Date | 2009-04-27 |
Last Update Date | 2020-12-04 |