| NPI | 1215964499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 58320) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01094509A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024047451) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101282914) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61579794) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 102556) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2025-01025) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2025-10-16 |