| 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 |