| NPI | 1356720965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0061809) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD16154) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI LP03482) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2024-04-29 |