| NPI | 1780690230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 017659) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR C-5226) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 14059) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MO 2006031057) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-02-09 |