NPI | 1568752665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 66560-20) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 66560-20) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IL 036145381) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036145381) | |
Enumeration Date | 2011-04-11 |
Last Update Date | 2023-08-01 |