NPI | 1730445180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 277733) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2019-04-19 |