| NPI | 1396241261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX U3004) |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2024-04-16 |