| NPI | 1619325974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01083724A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IA R-10600) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: SC LL84349) | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2022-10-17 |