| NPI | 1952329807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: TN 44995) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-03-29 |