NPI | 1285832741 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: PR 17645) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 17645) |
2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: PR 17645) | |
Enumeration Date | 2007-07-06 |
Last Update Date | 2015-03-20 |