| NPI | 1689981375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME114401) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2013-12-04 |