| NPI | 1144727546 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IN 01092804A) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 81854) | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-162833) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 39220) | |
| Enumeration Date | 2018-04-11 | 
| Last Update Date | 2024-09-23 |