| NPI | 1376591453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01024047A) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IN 01024047A) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IN 01024047A) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-03-11 |