| NPI | 1134743800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4351046818) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2025-08-05 |