| NPI | 1831493386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 15232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 15232) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 1021126) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 37874) | |
| Enumeration Date | 2010-12-26 |
| Last Update Date | 2024-10-09 |