| NPI | 1730443482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: RI MD16488) |
| Additional Taxonomies | 2084E0001X (Licence: RI MD16488) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2021-10-05 |