| NPI | 1114264413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH EL31789) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01090963A) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IN 01090963A) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: PA MD012367E) | |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2024-10-22 |