| NPI | 1992973580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MO 2012014705) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2025-04-17 |