| NPI | 1811105331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MO 2012031772) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-10-05 |