NPI | 1760466718 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 159455) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2011-01-10 |