| NPI | 1437689072 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01087926A) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019474A) | 
| Enumeration Date | 2017-06-15 | 
| Last Update Date | 2025-03-08 |