| NPI | 1376613430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME0057002) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2022-07-14 |