| NPI | 1134318942 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: AZ 4037) | 
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AZ 4037) | 
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 4037) | |
| Enumeration Date | 2007-10-17 | 
| Last Update Date | 2023-03-27 |