NPI | 1124097142 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: IN 01047262A) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: IN 01042262B) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2023-03-01 |