| NPI | 1407144207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01091756A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 67185) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2015016129) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2024-03-25 |