| NPI | 1710402847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NE 35183) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2024-06-16 |