| NPI | 1033268941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A49011) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA A49011) |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: CA A49011) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A49011) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-08-07 |