| NPI | 1942273826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 19531) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN MD 019531) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TN MD 019531) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2017-01-13 |