NPI | 1689870982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MS 20353) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MS 20353) |
Enumeration Date | 2007-06-23 |
Last Update Date | 2016-05-12 |