| NPI | 1346508637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IN 02004377) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 10315915-1204) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: UT 10315915-1204) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2021-10-28 |