NPI | 1114264413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: PA MD012367E) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01090963A) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IN 01090963A) | |
Enumeration Date | 2013-01-08 |
Last Update Date | 2023-08-14 |