| NPI | 1497850556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME116217) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-09-14 |