| NPI | 1598151383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01086449A) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01086449A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2015-0391) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2021-09-24 |