| NPI | 1265690580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 57627) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-12952) |
| 207P00000X Emergency Medicine (Licence: TN 57627) | |
| 208600000X Surgery (Licence: VA 0101251924) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2021-06-27 |