NPI | 1629497565 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A141104) |
Enumeration Date | 2014-04-08 |
Last Update Date | 2019-11-26 |