| NPI | 1891037586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MO 2019026355) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2024-04-25 |