| NPI | 1104141662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MN 61473) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-12644) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 60060) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10040800) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01086940A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 27287) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301500317) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 67009-20) | |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2022-03-25 |