NPI | 1164591657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: CA A79062) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2023-11-10 |