| NPI | 1659012300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 11022552A) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: IN 11022552A) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IN 11022552A) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 11022552A) | |
| 2084P0805X (Licence: IN 11022552A) | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-04-25 |