| 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 |