| NPI | 1710372396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: KY 57257) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01088363A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 57257) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: IN 01088363A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 84326) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-11-18 |