| NPI | 1427178284 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35084220) | 
| Enumeration Date | 2007-03-29 | 
| Last Update Date | 2016-09-14 |