| NPI | 1154382877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: PA MD041662E) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-07-30 |