| NPI | 1245290733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01040990A) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 17454) |
| 207ZC0006X Pathology, Clinical Pathology (Licence: KY 44240) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 17454) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-08-27 |