| NPI | 1255580403 | 
|---|---|
| Other Name | MICKEY SIDDIQUI | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 139488)  | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60036045)  | 
| Enumeration Date | 2008-09-11 | 
| Last Update Date | 2021-12-21 |