| NPI | 1619266889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 259436) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2017-04-11 |