| NPI | 1245209246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01055815A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01055815A) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA09009900) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-03-16 |