| NPI | 1144325226 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084P0805X (Licence: IN 01030277a) | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 10130277a) | 
| Enumeration Date | 2006-09-14 | 
| Last Update Date | 2025-09-11 |