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 |