| NPI | 1659783801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01092602A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 308403) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX BP10051192) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2024-04-19 |