| NPI | 1033239041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD60284459) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 02007140A) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 224944) | |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2023-09-19 |