NPI | 1831248129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX J6091) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2014-06-23 |