| NPI | 1306411202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0600X (Licence: TN 6848) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5151014801) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2026-08-25 |