NPI | 1841229382 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 174615) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04994600) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA04994600) | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2024-04-16 |