| NPI | 1659633725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: AZ 50580) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2021-12-17 |