| NPI | 1144227026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IN 01050254A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01050254A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 34174) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01050254A) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2021-11-08 |