| NPI | 1457317380 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO CDR.0000787) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01074836A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 042-0011271) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-06-16 |