| NPI | 1457399081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX G7730) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-10-20 |