| NPI | 1922097724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: OK 13277) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2016-11-03 |