| NPI | 1245248293 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01052216A)  | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN IN01052216A)  | 
| Enumeration Date | 2006-08-04 | 
| Last Update Date | 2023-01-20 |