| NPI | 1710277918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WA 60672774) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-11830) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 27179) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 58571) | |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2021-01-29 |