| NPI | 1265637557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-15173) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 054824) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: HI MD-15173) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-08-29 |