| NPI | 1336414531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 268133) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2020-06-10 |