| 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 |