| NPI | 1588083570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 71840) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 30716) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 66954) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 68006) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2022-03083) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2024-01-11 |