| NPI | 1467020024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WV 33137) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2024-01-23 |