| NPI | 1902011158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: KY 59121) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 11010836A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01063806A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD463417) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2024-04-29 |