| NPI | 1598145948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AR E-13456) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2020-04018) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 2020-04018) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2023-06-20 |