NPI | 1093020505 |
---|---|
Former Name | WALES THOTTATHIKUNNATH GEORGE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX V9904) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD461098) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 201400956) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101256576) | |
Enumeration Date | 2010-08-10 |
Last Update Date | 2025-09-02 |