| NPI | 1871794172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MO 2007022244) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2021-01-26 |