| NPI | 1629217641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 253339) |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2014-07-02 |