| NPI | 1972875730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 55617) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A151052) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 25841) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-11827) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 56920) | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2024-03-20 |