| NPI | 1184735698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301081420) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-02-17 |