| NPI | 1982806402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01067405A) |
| Additional Taxonomies | 2084N0600X (Licence: IN 01067405A) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2024-05-08 |