| NPI | 1932427218 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2021-03205) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 27116) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 266931) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-12508) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 52978) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2022-07-08 |