NPI | 1053431700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01087053A) |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: IN 01087053A) |
2084N0400X Psychiatry & Neurology Neurology (Licence: MA 234037) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2022-10-17 |