| NPI | 1114203262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.096005) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2021-10-18 |