| NPI | 1205830536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD09195) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN MD09195) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: TN MD09195) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2011-05-05 |