| NPI | 1558814889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NV 21914) |
| Additional Taxonomies | 2084E0001X (Licence: NV 21914) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2025-03-18 |