| NPI | 1487727400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IN 01067942A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NE 20752) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2015-11-23 |