| NPI | 1700995438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 02005730A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 62) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 79956) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-05-21 |