| 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 | 2025-02-25 |