| NPI | 1750357414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CO 20448) |
| Additional Taxonomies | 2084D0003X (Licence: CO DR0020448) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2017-12-06 |