| NPI | 1326175829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: LA MD.09705R) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 09705R) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-06-10 |