| NPI | 1245594779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: FL ME137760) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2022-08-10 |