NPI | 1235455494 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 48882) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IN 01089499A) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01089499A) | |
Enumeration Date | 2010-04-13 |
Last Update Date | 2024-07-18 |