| NPI | 1548468945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD - 1349) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA G - 10050) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: HI MD - 1349) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2008-11-05 |