| NPI | 1134655491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01087446A) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IN 01087446A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 228198) | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2023-01-27 |