| NPI | 1336373901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A137268) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA 137268) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2025-01-03 |