| NPI | 1861457178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01058932A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 36-110477) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 35044) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-11-25 |