NPI | 1184980716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MO 2018014208) |
Enumeration Date | 2012-04-09 |
Last Update Date | 2018-07-12 |