NPI | 1083080543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MD D89923) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2022-06-20 |