| NPI | 1760747208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01076450A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11016688) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01076450A) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IN 01076450A) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2023-12-07 |