NPI | 1164605275 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.093713) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2023-03-07 |