NPI | 1316040827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301085274) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2012-09-12 |