| NPI | 1174710347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IN 01086479A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036-103362) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IL 036-103362) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2022-10-10 |