| NPI | 1366026056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-20827) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AR E-20827) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.150157) | |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2026-07-20 |