| NPI | 1639431059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: GA 88174) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D86837) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD455076) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01088543A) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IN 01088543A) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2023-05-01 |