NPI | 1326110842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 32012) |
Additional Taxonomies | 174400000X Specialist (Licence: OK 17196) |
208000000X Pediatrics (Licence: SC 32012) | |
Enumeration Date | 2006-11-14 |
Last Update Date | 2009-08-13 |