| NPI | 1053447250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T0028) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2007007216) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-34475) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01058864A) | |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2023-12-15 |