| NPI | 1588288484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 72940) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ P21-01440) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 35874) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 75564) | |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2025-12-09 |