| NPI | 1003998618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: CA G86981) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G86981) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2015-05-26 |