| NPI | 1134163561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: AZ 30522) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-03-23 |