| 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 |