| NPI | 1932277746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301077010) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301077010) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2014-09-08 |