| NPI | 1629503024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301111456) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2020-10-22 |