| NPI | 1942395371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 52887) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60273725) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01079034A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 058133) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-07-14 |