| NPI | 1346405024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL DO.2836) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS12276) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101017872) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2023-12-04 |