| NPI | 1780641506 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 02006613A)  | 
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: AL DO1117)  | 
| 174400000X Specialist (Licence: GA 055142)  | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL DO1117)  | |
| 2084N0600X  (Licence: AL DO1117)  | |
| 174400000X Specialist (Licence: OH 34004503)  | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: AL DO1117)  | |
| Enumeration Date | 2006-04-26 | 
| Last Update Date | 2022-01-14 |