| NPI | 1013480649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A200779) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IN 01084739A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 01084739A) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2025-04-15 |