| NPI | 1720376338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01080039A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301107533) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 49356) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2020-05-18 |