| NPI | 1700146792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 280919) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2019-09-17 |