| NPI | 1134338908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: HI MDR-4822) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 64763) |
| 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: FL TRN14128) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-07-22 |