| NPI | 1437778958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA MD.MD.70099353) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2026-08-26 |