| NPI | 1699090217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01083647A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2020-00272) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 20347) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 90007) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD477188) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 267152) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 267152) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IN 01083647A) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2024-06-07 |