| NPI | 1346599206 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 54413) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 11016958A) | 
| Enumeration Date | 2012-09-06 | 
| Last Update Date | 2022-03-31 |