| NPI | 1003801713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: FL ME50292) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2014-07-17 |