| NPI | 1144337791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01065732A) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 47532-020) |
| 208D00000X General Practice (Licence: WI 47532-020) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2010-04-20 |