| NPI | 1124317243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX Q9904) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2017-05-04 |