| NPI | 1790076404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.124027) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2021-04-07 |