| NPI | 1427196575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A121704) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M-7513) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01080930A) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2025-12-15 |