| NPI | 1861433559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME65761) |
| Additional Taxonomies | 174400000X Specialist |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME65761) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2013-03-20 |