| NPI | 1881128387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 6851) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 30586) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 65123) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-08-01 |