| NPI | 1194285429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 129036) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS19811) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO217590) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A20755) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2025-04-09 |