NPI | 1710402847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NE 35183) |
Enumeration Date | 2017-08-09 |
Last Update Date | 2024-06-16 |