NPI | 1164539995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AL 24108) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2020-10-22 |