| NPI | 1477641421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IN 01071896A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 2004016667) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-11-14 |