NPI | 1700170180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: FL ME118674) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: CA A116424) |
2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CA A116424) | |
2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: FL ME118674) | |
Enumeration Date | 2011-06-03 |
Last Update Date | 2022-07-14 |