| 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 |