NPI | 1790714145 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX M2524) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2021-05-11 |