| NPI | 1134765993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: IN 01036191A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01036191A) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: IN 01036191A) | |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |