| NPI | 1477059756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 33402) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 65186) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101279017) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-09-12 |