| NPI | 1962599084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TN 38710) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 38710) |
| 2084N0600X (Licence: TN MD38710) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2025-06-23 |