| NPI | 1306106398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD459521) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2021-11-03 |