| NPI | 1003807058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA 25994) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2021-05-10 |