| NPI | 1700911559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: VA 0101036179) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-02-09 |