NPI | 1346282241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01055924A) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IN 01055924A) |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IN 01055924A) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2016-07-06 |