| NPI | 1922171644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: CA A42567) |
| Additional Taxonomies | 174400000X Specialist (Licence: A42567) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-06-06 |