| NPI | 1902839525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01073001A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-110816) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 65691) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 13555) | |
| 207R00000X Internal Medicine (Licence: WI 13555) | |
| 207R00000X Internal Medicine (Licence: IN 01073001A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25IA12655600) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2026-05-13 |