| NPI | 1568579670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01081538A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 30154) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 49535) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-02-22 |