| NPI | 1710907688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01079812A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 65957) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036047925) | |
| 2084N0600X (Licence: IL 036047925) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-10-25 |