| NPI | 1083735856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME0079748) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-04-08 |