| NPI | 1336756527 | 
|---|---|
| Former Name | MATHEUS GONCALVES MARQUES | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 69621) | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 30898) | 
| Enumeration Date | 2020-09-30 | 
| Last Update Date | 2025-08-14 |