NPI | 1588648372 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35027242) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2011-03-15 |