| NPI | 1497252365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MN 70189) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-01-16 |