| NPI | 1053706267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A134904) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2025-08-01 |