| NPI | 1689219347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: WI 76207) |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2023-01-09 |