| NPI | 1083635429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IA 37435) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 151736) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 37435) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2009-03-03 |