| NPI | 1467026609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101027356) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5151015065) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5315239515) | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2025-05-22 |