| NPI | 1629569140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 02006062A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101025883) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101023970) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5151010889) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2024-01-02 |