| NPI | 1477875938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 53916) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 010272724) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2024-07-16 |