| NPI | 1598113300 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01084244A) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0063885) | 
| Enumeration Date | 2016-06-02 | 
| Last Update Date | 2025-03-07 |