| NPI | 1760828271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01087474A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD H83673) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-10-15 |