| NPI | 1497035893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A118089) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2017-01-26 |