| NPI | 1518987676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: FL ME57485) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-04-25 |