NPI | 1083804181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: OR APP176294) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: CA A85490) |
2084N0400X Psychiatry & Neurology Neurology (Licence: MA 231745) | |
Enumeration Date | 2007-07-26 |
Last Update Date | 2016-01-05 |