| NPI | 1184622201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MS 15598) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AR N8305) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TN MD0000029544) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AL 00005814) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 012716) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2011-10-24 |