| NPI | 1003934274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101277055) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 50000) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO CDR.0004378) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01031938A) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 202566) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61408068) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 75956) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301116311) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2025-09-15 |