| NPI | 1962414433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD058407L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD058497L) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2011-08-30 |