| NPI | 1790778447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01057489a) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 37705) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2014-05-20 |