| NPI | 1639352321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: UT 60198221205) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2021-11-11 |