NPI | 1205827516 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX K7655) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2008-01-31 |