| NPI | 1508084864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 42130) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: TN 42130) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: GA 057776) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-09-07 |