NPI | 1073076915 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 1015682) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 1015682) |
Enumeration Date | 2019-04-08 |
Last Update Date | 2025-07-16 |