| NPI | 1114189305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 72980) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01072115A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01072115A) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2025-01-28 |