| NPI | 1346520434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 10411838-1204) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 02004089A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A13837) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2023-12-13 |