| NPI | 1528091030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 43244) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 43244) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01036452A) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-05-11 |