| NPI | 1740497908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01067152A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60142077) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60142077) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: WA MD60142077) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-06-08 |