| NPI | 1568788479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: LA 301679) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: LA 301679) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AR E9239) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2022-01-21 |