| 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 |