| NPI | 1568509065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 13144) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N2923) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH RT-1471) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-12-15 |