NPI | 1679922967 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX V3400) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2025-09-04 |