| NPI | 1912907197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0012292) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD432784) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 201294) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA07658800) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NJ NCC00372-08) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: PA NCC00372-08) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NJ 25MA07658800) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD432784) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2022-07-21 |