| NPI | 1316172513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 056609) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036133586) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01076175A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 80701) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2024-08-21 |