| NPI | 1629282165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IN 01070034A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01070034A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 42691) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 93344) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-04-27 |