NPI | 1104144690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A122557) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A122557) |
Enumeration Date | 2010-05-10 |
Last Update Date | 2020-11-16 |