| NPI | 1669474110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NE 18309) |
| Additional Taxonomies | 174400000X Specialist (Licence: NE 18309) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2016-02-11 |