| NPI | 1801837067 | 
|---|---|
| Professional Name | PREVENTATIVE PSYCHIATRY | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208D00000X General Practice (Licence: MT 34358) | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 34358) | 
| Enumeration Date | 2006-06-09 | 
| Last Update Date | 2022-07-21 |