| NPI | 1992894448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 71347) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX K2802) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 71347) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2025-04-16 |