| NPI | 1952716409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 75530) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME170382) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01092042A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A152348) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL37236) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61530684) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2025-12-05 |