| NPI | 1063466944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01021916A) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: IN 01021916A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2022-08-10 |