| NPI | 1962404632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01039496) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01039496) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2022-05-18 |