| NPI | 1376650481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TN 28622) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AR E2892) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MS 17215) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2015-11-16 |