| NPI | 1932156924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ D12309700) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01059078) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01059078A) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2024-05-07 |