| NPI | 1659684488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: IN 01082886A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244207) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 54810) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 54435) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 105661) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2022-10-12 |