NPI | 1316973688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX J4323) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX J4323) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2016-07-05 |