| NPI | 1548343536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: HI MD-11887) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: HI 11887) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-08-09 |