| NPI | 1982818431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.095403) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 57 . 011675) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 47980) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-05-05 |