| NPI | 1003913260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01058270A) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01058270A) |
| 207Q00000X Family Medicine (Licence: IN 01058270A) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-10-12 |