NPI | 1669904553 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: GA 92419) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2023-09-05 |