| NPI | 1609135938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01086152A) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: IA MD43848) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: IN 01086152A) | |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2022-02-14 |