| NPI | 1962089953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.155690) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-06-29 |