| NPI | 1497775522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV DO1473) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS20365) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN OS20365) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 31889) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL TPOS607) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 4170) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 005134) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 5330) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U4060) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2026-10-11 |