| NPI | 1306167424 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 33086) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 02004489A) | 
| Enumeration Date | 2010-06-14 | 
| Last Update Date | 2024-11-15 |