NPI | 1942314604 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 21823) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01095372A) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IN 01095372A) | |
Enumeration Date | 2006-08-19 |
Last Update Date | 2025-04-24 |