| NPI | 1487392635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI CLP05610) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CO DR.77610) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2026-07-27 |