| NPI | 1497142178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL 16531) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2020-06-23 |