| NPI | 1306050257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01080867A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 49759) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-09-16 |