| NPI | 1003934274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01031938A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 75956) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 50000) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301116311) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-04-03 |