| NPI | 1992721658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 49091) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-11945) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 18760) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 58443) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MN 49091) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2022-05-19 |