| NPI | 1811105364 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01079632A) | 
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN 51967) | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME106550) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2017-0261) | |
| Enumeration Date | 2007-05-18 | 
| Last Update Date | 2022-10-10 |