| NPI | 1124316054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MI 5101019162) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 02007671A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101019162) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0102207882) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2025-04-18 |