| NPI | 1992825889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 33877) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: TN 33877) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 33877) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-07-12 |