NPI | 1740703412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A179309) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2024-12-06 |