| NPI | 1003235607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A137614) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2025-09-24 |