| NPI | 1346660149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OK 34756) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2019-06-18 |