| NPI | 1205836608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01052686A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036101230) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301065910) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-05-14 |