NPI | 1154716850 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 283730) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2022-05-04 |