| NPI | 1699720110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D84252) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01051651A) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MD D84252) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01051651A) | |
| 2084P0805X (Licence: IN 01051651A) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-10-28 |