NPI | 1053543165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A130028) |
Enumeration Date | 2009-08-23 |
Last Update Date | 2022-06-28 |