NPI | 1548206618 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2019017086) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME114072) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: WA BC60686820) | |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME114072) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2019-09-12 |