| NPI | 1093210114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM DO2026-0116) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 02008130A) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2026-07-21 |