| NPI | 1285707000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-14011) |
| Additional Taxonomies | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: HI HI-14011) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI MD-14011) | |
| 208D00000X General Practice (Licence: HI MD- 14011) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2025-09-10 |