| NPI | 1699707422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09598800) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 028205) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 53475) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-11832) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 24303) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-04-12 |