NPI | 1760458921 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01067441A) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 252808) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IN 01067441A) | |
Enumeration Date | 2006-02-27 |
Last Update Date | 2022-10-14 |