| NPI | 1427132521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 39571) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD36571) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-02-09 |