NPI | 1881037620 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NJ 25MA10425700) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: PA MD462066) |
Enumeration Date | 2013-04-11 |
Last Update Date | 2024-10-03 |