| NPI | 1518958040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01046966A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01046966A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-091192) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2019-04-23 |