| NPI | 1902038698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01071652A) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: OH 57.020859) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2018-03-17 |