| NPI | 1427291723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: ME MD21673) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME MD21673) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2014-00503) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2026-07-02 |