| NPI | 1730119413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NV 7067) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NV 7067) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-12-03 |