| NPI | 1831319862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01085261A) |
| Additional Taxonomies | 2084N0600X (Licence: LA 328265) |
| 2084N0600X (Licence: IL 036-136618) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-136618) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-09-09 |