NPI | 1891181707 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: AR E-12788) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-12788) |
2084N0400X Psychiatry & Neurology Neurology (Licence: AR E-12788) | |
Enumeration Date | 2015-04-08 |
Last Update Date | 2020-07-09 |