| NPI | 1568531317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 9634) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 7923) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 06150R) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 29562) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.06150R) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-03-29 |