| 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 |