| NPI | 1255075941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0102208125) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0102208125) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102208125) | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2026-06-12 |