| NPI | 1053846188 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01096781A) | 
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 036.154852) | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301508746) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-26 | 
| Last Update Date | 2025-08-11 |