| NPI | 1881048262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11497800) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 302323) | |
| 261QR1100X Clinic/Center, Research (Licence: NJ 25MA11497800) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2023-07-29 |