| NPI | 1689963068 |
|---|---|
| Former Name | STAMATIOS GEORGE DENTINO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 8405889-1205) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2021-10-20 |