NPI | 1396923363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX R7977) |
Enumeration Date | 2008-02-01 |
Last Update Date | 2022-02-10 |