| NPI | 1336727361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102209136) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 5077) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD H0106702) | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-05-21 |