NPI | 1902801848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-3658) |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: AR E-3658) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: AL MD.33726) | |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: AR E-3658) | |
Enumeration Date | 2005-06-16 |
Last Update Date | 2020-07-07 |