| NPI | 1336283498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-7051) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-7151) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AR E-7151) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-07-10 |