| NPI | 1679795678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NV 16529) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-04-03 |