| NPI | 1104119346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01075536A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02188) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI LP02188) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2020-11-18 |