| NPI | 1073567681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL OS9220) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-02-03 |