| NPI | 1174055214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AL MD.44407) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2022-08-29 |