NPI | 1558488197 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01090776A) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC 40290) |
2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME143961) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: TX R1831) | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2024-09-06 |