| NPI | 1174972863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01078903A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01078903A) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2021-09-30 |