| NPI | 1689997751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: CA A110494) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A110494) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2022-02-11 |