| NPI | 1225616477 |
|---|---|
| Former Name | MATTHEW RUSLING LAMEPTER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102207526) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2026-03-02 |