| NPI | 1316230014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD442776) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2016-07-06 |