| NPI | 1871663542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.074483) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2015-10-13 |