| NPI | 1326574518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A161059) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112281) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01088367A) | |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2023-10-03 |