NPI | 1558708800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A161064) |
Additional Taxonomies | 273100000X Epilepsy Unit (Licence: CA A161064) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MT214878) | |
Enumeration Date | 2013-05-28 |
Last Update Date | 2019-06-03 |