| NPI | 1417163627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX G9085) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-09-22 |