| NPI | 1528068939 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MD d42467) | 
| Enumeration Date | 2005-07-28 | 
| Last Update Date | 2012-04-26 |