| NPI | 1902331432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0068090) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125.07152) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CO DR.0068090) | |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2026-08-19 |