| NPI | 1558569442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: AR E-7396) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TN 47546) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AR E-7396) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2012-07-18 |