| NPI | 1881141372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AZ 81206) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2026-07-29 |