NPI | 1295723450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: CA C150674) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: DC 18892) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NH 14663) | |
2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: NH 14663) | |
2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: DC 18892) | |
Enumeration Date | 2005-10-12 |
Last Update Date | 2020-05-06 |