| NPI | 1477603504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 21273) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 0106453A) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01064532A) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 77177) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036162049) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-10-01 |