NPI | 1235629924 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.139804) |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: OH 35.139804) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.139804) | |
Enumeration Date | 2018-05-17 |
Last Update Date | 2024-08-22 |