NPI | 1265798698 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A128589) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2024-09-16 |