NPI | 1467529347 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.128727) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2021-04-06 |