| NPI | 1659751527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: TX T1716) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2022-10-25 |