| NPI | 1356421440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IN 01060691A) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01060691A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01060691A) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 01060691A) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2026-01-30 |