NPI | 1063649101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01088913A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102180) |
207R00000X Internal Medicine (Licence: MO 2009010335) | |
207T00000X Neurological Surgery (Licence: MI 4301102180) | |
Enumeration Date | 2009-06-16 |
Last Update Date | 2024-02-09 |