NPI | 1265092670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024007984) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019019502) |
Enumeration Date | 2019-06-18 |
Last Update Date | 2024-07-15 |