| NPI | 1376521922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301063683) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301063683) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2016-09-09 |