NPI | 1790705648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 45706) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 45706) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2014-10-14 |