| NPI | 1487628855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: IN 01021319) |
| Additional Taxonomies | 2084P0805X (Licence: IN 01021319) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-09-10 |