| NPI | 1851448476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TN MD0000039211) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-06-05 |