| NPI | 1104021062 |
|---|---|
| Former Name | MOHAN PRABU AYYASWAMY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME149732) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01072686A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 27885) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2022-08-09 |