| NPI | 1588801500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01070507A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125052924) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2012-07-24 |