| NPI | 1508067398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0065832) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MD D0065832) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01089964A) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2025-05-16 |