| NPI | 1710086749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NM 94-167) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-09 |