| NPI | 1194046193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A148984) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2022-07-21 |