| 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 |