| NPI | 1649774647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MN 73457) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-11-13 |