| NPI | 1265444657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD0000003686) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR R4538) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 15619) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-02-12 |