NPI | 1275571481 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KY 19719) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 19719) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: KY 19719) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 19719) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2019-02-15 |